Direktori Jurnal Elektronik Universitas Imelda Medan
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PENGARUH PENERAPAN APLIKASI KOPIKu ¨KONTRSEPSI PILIHANKU¨ TERHADAP PENGETAHUAN IBU HAMIL TRIMESTER 3 TENTANG KONTRASEPSI IUD
Get PDFHealthy pregnancy preparation and pregnancy planning are important factors in preventing maternal and infant mortality rates, many programs have been launched by the government including the 1000 HPK program and family planning programs to regulate pregnancy. The low knowledge and level of education of women of childbearing age leads to low coverage of long-term contraceptives. ¨KOPIKu ? application is an android-based application that contains various contraceptive methods that are divided according to needs. The purpose of this study was to determine the effect of the application of ¨KOPIKu ? application on the knowledge of pregnant women in the 3rd trimester about IUD contraception. The subjects of the study were 3rd trimester pregnant women who had never used an IUD in the work area of the Karanganyar Health Center in Tasikmalaya City as many as 35 people. The research design used was a pre-post test design without control with influence analysis using a T-test. The results of the analysis of the average knowledge of respondents before being given the application were 52.63 while the average knowledge after being given the application was 84.40 and the results of the T test obtained a p value of <0.05. The application of the ?KOPIKu ? application affects the knowledge of pregnant women in the 3rd trimester about IUD contraception
EVALUASI PENGGUNAAN OBAT ANTIHIPERTENSI PADA PASIEN GAGAL GINJAL KRONIK (GGK) DI UNIT HEMODIALISA RSU IMELDA PEKERJA INDONESIA MEDAN
Get PDFChronic kidney failure (CKD) is a clinical symptom caused by chronic, progressive, and irreversible kidney function disorders. The World Health Organization (2017) reports that globally, CKD occurs in more than 500 million people. According to Riskesdas (2018) the prevalence of CKD based on a doctor's diagnosis in the population aged 15 years in Indonesia is 0.38% while in North Sumatra it is 0.33%. This method replaces the work normally carried out by the kidneys, namely cleansing the blood of metabolic wastes, toxic substances, and removing accumulated water in the body. This study aims to see the pattern of use of antihypertensives in patients with chronic kidney failure in hemodialysis Imelda Indonesian Workers General Hospital Medan period 2020. This study is a descriptive observation study in which data were taken retrospectively and analyzed by descriptive statistical methods. The pattern of use of antihypertensives in CKD patients in the hemodialysis unit of Imelda RSU Indonesian Workers is mostly amlodipine 13.0%, and the most widely used combination therapy is amlodipine with valsartan 14.4%
Sistem Pakar Diagnosa Penyakit Tanaman Terong Berbasis Web Dengan Metode Dempster Shafer
Get PDFEggplant is one type of fruit plants that can be processed into vegetables to be consumed as supporting energy in the human body, although this type of plant is not a basic necessity but always in demand by household consumers as a feeding menu enhancer. The eggplant does not necessarily grow and thrive. Based on observations in this season, many farmers suffer damage to the eggplant until the eggplant dies and cause crop failure. Facts show that eggplant plants have a wide range of distractions for survival and development. In recent seasons farmers have detected natural disruption of plants with the facts that occur in plants and also conduct preventive techniques naturally, because there is no system to be a consulting container for farmers who can help in detecting pests and diseases especially in eggplant plants. In this issue researchers do a study by designing a system based to diagnose the problem of crop disorders. The method used in this system is dempster shafer technique. This web base system can be used to find solutions for farmers in controlling pest and disease problems. In the design of this system researchers use the programming language Unified Modeling Language (UML) such as Use Case Diagram, Activity Diagram, Sequence Diagram, Class Diagram in Model groove on the system. PHP programming language, MySql, PhpmyAdmin. This web-based system is presented to the farmer community in order to use the most reliable control in crop interference. Based on the results of a system test it can be proved that this web-based pest and disease system is running properly and deserves to be used
Sistem informasi pengeluaran kas kecil pada kantor badan kesatuan bangsa politik Dan perlindungan masyarakat Provinsi sumatera utara
Get PDFPenelitian ini bertujuan untuk menganalisis kelemahan dan kebutuhan Sistem Informasi Pengeluaran Kas Kecil serta penyusunan laporan keuangan pada kantor Bakesbangpol Linmas Provsu, untuk memberikan saran perbaikan berupa rancangan Sistem Informasi Pengeluaran Kas Kecil yang dapat memenuhi kebutuhan manajemen kantor Bakesbangpol Linmas Provsu. Penelitian ini dilakukan oleh penulis yang melakukan penelitian pada bagian keuangan Sistem Informasi Pengeluaran Kas Kecil. Sedangkan perancangan sistem baru dimulai dengan pembuatan DFD, ERD kemudian dilanjutkan dengan perancangan database. Tujuan yang diharapkan dalam perancangan Sistem Informasi Pengeluaran Kas Kecil ini dapat meningkatkan efektifitas dan efisiensi bagian Keuangan dalam mengelola informasi dengan memberikan kemudahan dalam penanganan kecepatan pencarian data, Kegiatan Pengeluaran Kas dan laporan keuangan yang lebih terdokumentasi dan terkomputerisasi. Dalam penelitian ini disimpulkan bahwa Sistem Informasi Pengeluaran Kas Kecil yang dilaksanakan oleh Bakesbangpol Linmas Kantor Provsu memiliki prosedur yang kurang baik, sehingga sering terjadi manipulasi data dan informasi keuangan yang dihasilkan kurang akurat.Penelitian ini bertujuan menganalisis kelemahan dan kebutuhan Sistem Informasi dan Pengeluaran Kas Kecil serta pembuatan laporan keuangan pada kantor Bakesbangpol Linmas Provsu, untuk diberikan usulan perbaikan berupa rancangan Sistem Informasi Pengeluaran Kas Kecil yang dapat memenuhi kebutuhan manajemen kantor Bakesbangpol Linmas Provsu. Penelitian ini dilakukan dengan cara penulis melakukan penelitian pada bagian keuangan mengenai Sistem Informasi Pengeluaran Kas Kecil. Sedangkan perancangan sistem yang baru dimulai dengan pembuatan DFD, ERD kemudian dilanjutkan dengan perancangan database. Tujuan yang diharapkan dalam perancangan Sistem Informasi Pengeluaran Kas Kecil dapat meningkatkan efektivitas dan efisien bagian Keuangan dalam mengelola informasi dengan memberikan kemudahan dalam menangani kecepatan pencarian data, aktivitas Pengeluaran Kas serta laporan keuangan yang lebih terdokumentasi dan Terkomputerisasi. Dalam penelitian ini disimpulkan Sistem Informasi Pengeluaran Kas Kecil yang diterapkan Kantor Bakesbangpol Linmas Provsu memiliki prosedur yang kurang baik, sehingga sering terjadi manipulasi data dan kurang akuratnya informasi keuangan yang dihasilkan
Tinjauan Peranan Koder Dalam Pengajuan Berkas Klaim BPJS Kesehatan Pasien Rawat Inap Di RSUD DR. R.M. Djoelham Kota Binjai
Get PDFSubmission of claim files to BPJS Health is carried out every 10th of the month, BPJS Health will provide information whether the claim file is feasible or not. If the claim file is not feasible, it needs to be corrected. The purpose of the research is to describe the role of the coder in filing claims for BPJS Health inpatients at RSUD Dr. R.M. Djoelham Binjai City. The research method used is descriptive method with a quantitative approach. The sample uses 43 claim files returned by BPJS Health in April and May 2021 and also interviews with two coders. Data is collected by using observation with a checklist instrument and interviews with interview guidelines. The result shows that the hospital does not have standard operating procedures related to the submission of BPJS Health claim files, from 276 files (100%) submitted in April and May 2021, there were 233 files (84,42%) that deserve to be claimed and 43 files (15,58%) that were returned (not eligible). The reasons for the return were due to confirmation of diagnosis (18,60%), medical support (25,58%), indications for hospitalization (16,28%), coding (11,63%), purification failure (6,98%) and other causes (20,93%). The roles of the coder in handling claim files are assembling, determining the primary diagnosis code and secondary diagnosis based on ICD-10, determining the code of action (procedure) based on the ICD-9-CM, and coordinating with various internal parties for the completeness of the BPJS Health claim file. Suggestions for hospital to make standard operating procedures related to claim files submission and coders to be more thorough in preparing the complete claim files
PENGARUH TEKNIK RELAKSASI EFFLEURAGE TERHADAP NYERI PERSALINAN KALA I PADA IBU INPARTU DI BIDAN PRAKTEK ZULAINI KOTA LANGSA
Get PDFLabor pain occurs due to the cervical dilatation process, as the intensity and frequency of the uterus increase, the pain felt will be stronger and peak in the first stage of the active phase, namely the opening of the uterus to 4-10 cm during labor. The Effleurage massage technique is a massage technique in the form of a light massage using the fingers, performed on the abdomen, in rhythm with breathing during contraction. Massage effleurage helps reduce labor pain through the three hierarchical myelinated vagus/parasympathetic autonomic nerves, sympathetic nerves, vagus/unmyelinated parasympathetic nerves. This research method is a quasi-experimental study with a one group pretest-posttest approach by measuring the intensity of pain before and after the intervention. This research was conducted at the practice midwife Zulaini Langsa City using purposive sampling technique. The sample in this study were 16 people. Data analysis was carried out univariately (descriptively) to see the research variables both independent and dependent in the form of frequency distribution and bivariate using the Paired T-Test test to see the effect of the independent variable with the dependent. The first stage of labor pain is known to have a p value (sig) (0.000) < 0.05, which means that there is an effect of the Effleurage Relaxation Technique on the first stage of labor pain in the mother. The average score of labor pain before being given the Effleurage massage intervention was 2.38 and after the Effleurage massage intervention was given the average score for menstrual pain decreased to 1.38. This shows that Effleurage massage is effective in reducing labor pain in the first stage of labor. The conclusion is that there is an effect of the Effleurage Relaxation Technique on the First Stage of Labor Pain in the mother
HUBUNGAN KONDISI LINGKUNGAN RUMAH TERHADAP KEJADIAN TUBERCULOSIS PARU DI WILAYAH KERJA PUSKESMAS BANDAR KHALIFAH
Get PDFTuberculosis is a direct infectious disease caused by Tuberculosis germs (Mycobacterium tuberculosa) which are transmitted through the air (droplet nuclei) when a Tuberculosis patient coughs and splashes of saliva containing these bacteria are inhaled by others when breathing. The purpose of this study was todetermine the relationship between home environmental conditions and the incidence of pulmonary tuberculosis in the working area of the Bandar Khalifah Health Center in 2021. This study used an analytic survey method with a case control design. The number of samples was 60 people consisting of 30cases and 30 controls. The sampling technique in this study was simple random sampling. The research data were analyzed by Chi Square test. The results obtained are that there is a relationship between ventilation area (OR = 0.125), occupancy density (OR = 0.036), wall type (OR = 0.196), lighting (OR =21,357), and humidity (OR = 21,000) on the incidence of Pulmonary Tuberculosis. . It is recommended that the Puskesmas need additional health education for the community, especially about pulmonary tuberculosis. This can be done through socialization at the Posyandu, or when going to the Puskesmas andthe community should pay attention to environmental cleanliness, especially the home environment
Asesmen Kode Penyebab Kematian di RSUD Panembehan Senopati Bantul Yogykarta
Get PDFa complete medical record reflects the quality of good documentation, the complete of diagnosis writing reduces incorrect and inaccurate code and appropriate reporting to support decision makers. this study aims to measure the completeness and accuracy of the death code and the basic cause of death of patients. This study uses a quantitative descriptive design using a completeness checklist instrument. researchers used secondary data from the medical records of patients who died in 2021, the total sample was 199 using the slovin formula. secondary data analyzed with STATA, presented with tabulations and descriptive narratives. the basic cause of the basic cause of death was highest in code J80 at 33 (17%), J12.8 at 21 (11%) and the third being E11.9 . Based on the category of completeness of filling out of the 199 medical records analyzed, there were 37% (75) death forms that were not filled in completelyrekam medis yang lengkap mencerminkan kualitas pendokumentasian, kelengkapan penulisan diagnosis meminimalisir kesalah dan kode tidak akurat, dan juga berpengaruh pada kualitas pelaporan guna mendukung pemangku kebijakan. Penelitian ini bertujuan mengukur kelengkapan dan kealuratan kode penyebab pasien meninggal. Penelitian ini menggunakan rancangan deskriptif kualitatif, instrumennya dengan checklist kelengkapan. Peneliti menggunakan data sekunder dari rekam medis pasien meninggal tahun 2021, total samplenya sebesar 199 diukur dengan rumus slovin. Data dianalisis dengan STATA, disajikan dalam bentuk tabulasi dan narasi deskriptif. Hasil asesmen diagnosis tertinggi pada kode J80 sebesar 33 (17%), tertinggi kedua yaitu J96.8 yaitu 21 kasus (11%). Untuk penyebab dasar penyebab dasar pasien meninggal tertinggi pada kode J80 atau Adult respiratory distress syndrome sebesar 33 (17%), J12.8 sebesar 21 (11%) dan ketiga yaitu E11.9 atau diabetes mellitus unspecified. Berdasarkan kategori kelengkapan pengisiannya dari 199 rekam medis yang dianalisis, terdapat 37% (75) formulir kematian yang tidak terisi lengkap. Apabila di asesmen secara rinci, terdapat terdapat 15% (30 kode) kode terisi lengkap namun akurat tidak akurat, meskipun prosesntase kelengkapan dan keakuratan kode hingga karakter ke 4 mencapai 80% (161 kasus)
EFEKTIVITAS PEMBERIAN PISANG AMBON (MUSA PARADISIACAL) DENGAN VITAMIN B6 DALAM MENURUNKAN INTENSITAS MUAL MUNTAH PADA IBU HAMIL TM 1 DI KLINIK LINA HINAI KIRI KEC.SECANGGANG
No full textNausea (nausea) and vomiting (emesis gravidarum) are normal symptoms and are often found in the first trimester of pregnancy. Almost 50-90% of pregnant women experience nausea and vomiting in the first trimester. One of the pharmacological methods that can be used to treat nausea and vomiting in pregnancy is to consume pyridoxine (vitamin B6) and non-pharmacological among them is to consume Ambon banana (Musa paradisiaca) which contains lots of flavonoids and vitamin B6 which is able to overcome nausea and vomiting in pregnancy.The purpose of this study was to determine the effectiveness of giving Ambon bananas and vitamin B6 in reducing the intensity of nausea and vomiting in first trimester pregnant women at the Lina Hinai Kiri Secanggang Clinic.This research method uses Quasi Experimental research with a cross sectional research design. Data analysis was performed with two independent mean difference test. The research design was used with Two Group Only Post Test Design. The sample technique in this study used a purposive sampling technique and as a sample in this study were pregnant women in the 1st trimester who experienced nausea and vomiting and who came to check their pregnancy at the Lina Hinai Kiri Clinic, Secanggang District as many as 30 people.The results showed that the effectiveness of giving Ambon bananas with Vitamin B6 in reducing the intensity of nausea and vomiting in pregnant women. The table above shows that the frequency of nausea and vomiting in the ambon banana group of all respondents is in the effective category. Likewise, in the group giving vitamin B6, all respondents also included in the effective category, namely with a p-value of 0.001 <=0.05 
HUBUNGAN PENGETAHUAN DENGAN SIKAP IBU BERSALIN TENTANG METODE HYPNOBIRTHING PADA NYERI PERSALINAN DI KLINIK PRATAMA ANUGRAH TAHUN 2022
Get PDFHypnobirthing adalah salah satu bagian dari hipnosis klinik khususnya hipnosis kebidanan. Hipnosis klinik adalah suatu ilmu pengetahuan dan keterampilan yang sudah lama digunakan dalam dunia kesehatan, dan saat ini berkembang pesat karena banyak orang yang membutuhkan. Hal ini disebabkan kondisi stres dalam menghadapi perubahan yang sangat cepat pada proses persalinan. Hipnosis klinik mempunyai tujuan sebagai upaya promosi, prevensi, terapi dan rehabilitasi (Kusuma, et al, 2009).
Penelitian ini bersifat Study Kolerasi dengan metode cross sectional. Sumber data dalam data ini adalah data primer dan sekunder yang diukur dengan menggunakan instrumen berupa kuesioner dan dianalisa dengan teknik chi-square dengan menggunkan program SPSS (Statistical Product and Service Solution) dengan sampel 30 orang.
Berdasarkan tabel hasil penelitian hubungan pengetahuan dengan sikap Ibu Bersalin tentang Metode Hypnobirthing pada Nyeri Persalinan, maka diperoleh hasil dari tabel uji Chi-square pada kolom Asymp.Sig. (2-Sided) menunjukkan nilai probabilitas. Nilai Sig-nya adalah 0,001 yang berarti bahwa nilai (p<0,05) dan nilai x2 hitung = 18,261 yang berarti nilai x2 hitung lebih besar dari x2 tabel diketahui nilai x2 tabel = 5,991 dengan df = 2 dan taraf signifikan 0,05.
Terdapat hubungan yang signifikan antara Hubungan pengetahuan dengan sikap Ibu Bersalin tentang Metode Hypnobirthing pada Nyeri Persalinan di Klinik Pratama Anugrah Tahun 2022. Dilihat dari Uji Chi-Square diperoleh nilai p < 0,05, dengan nilai probilitas 0,001. Dan dengan X2 hitung (18.261) > dari X2 tabel (5.991), dengan derajat frekuensi 2, ? = 0,05 maka Ha diterima Dan Ho di tolak